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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERUSALEM VICENCIO VALDEZ, PT

Active Sole Proprietor

JERUSALEM VICENCIO VALDEZ, PT is a Physical Therapy Assistant healthcare provider located in VALLEY STREAM, New York. NPI 1053392860 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · VALLEY STREAM, NY

Registration Details

NPI Number
1053392860
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2005 (20.57816356209 yrs)
Last Updated
Mar 30, 2016
License
021867 (NY)
Sole Proprietor
Yes

Practice Information

Address
18 WOOD LN
VALLEY STREAM, NY, 115812618
Browse NY providers · Browse ZIP 11581
Phone
6464691527
Fax
5163410294
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in VALLEY STREAM, NY

Name Credential NPI
MS. SHARON BETH KAPLAN P.T 1003814427
MR. STEPHEN I TRAMA P.T. 1497726988
EVAN GREENE MSPT 1700853868
DR. ASHA JACOB D.P.T., W.C.C. 1588610919
DESIREE LOPEZ P.T. 1710919154
DR. LOUIS PAPAGIANAKIS PT,DPT,CSCS 1164524112
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.